Nurse practitioner model of care for the initiation of pre‐exposure prophylaxis: A case series study

• Published in: Nursing open Vol. 10; no. 2; pp. 1135 - 1143
• Main Authors: Cornelius, Judith B., Gunn, Laura H., Dalton, Cynthia, Davis, Bernard
• Format: Journal Article
• Language: English
• Published: United States John Wiley & Sons, Inc 01-02-2023; Wiley
• Subjects: Advanced practice nurses; African Americans; American Association of Colleges of Nursing; Anti-HIV Agents - therapeutic use; Disease control; Disease prevention; Doctoral Essentials; Gays & lesbians; HIV; HIV Infections - drug therapy; HIV Infections - prevention & control; Homosexuality, Male; Human immunodeficiency virus; Humans; Infections; Infectious diseases; Male; men who have sex with men; Mens health; models of care; nurse practitioner; Nurse Practitioners; Nursing education; Patients; Physicians; Pre-Exposure Prophylaxis - methods; pre‐exposure prophylaxis; Sexual and Gender Minorities; Sexually transmitted diseases; STD; North Carolina; United States > US; pre-exposure prophylaxis; American Association of Colleges of Nursing; nurse practitioner; Doctoral Essentials; models of care; men who have sex with men
• ISSN: 2054-1058; 2054-1058
• DOI: 10.1002/nop2.1381

Aim
The purpose of this study was to create and implement a nurse practitioner model of care in the initiation of a pre‐exposure prophylaxis (PrEP) protocol with African American men who have sex with men (MSM).
Design
A case series design was used to implement the protocol for a nurse practitioner PrEP‐based model of care.
Methods
The participatory, evidence‐based, patient‐focus process (PEPPA) framework and the American Association of Colleges of Nursing (AACN) Doctoral Essentials for Advanced Practice were aligned to guide the development, implementation, and evaluation of this advanced practice role in an urban medical clinic.
Results
Seven African American HIV‐negative MSM who received treatment under the nurse practitioner PrEP‐based model of care had increased PrEP knowledge and medication adherence and did not contract a sexually transmitted infection.
Conclusions
New models of care can be created to meet the Getting to Zero HIV initiative of reducing rates of HIV infections with MSM.